心理干预对减轻孕中期引产妇产后抑郁的研究

Research on the psychological intervention in alleviating postpartum depression of women who had induced labour of second-trimester

目的:探讨心理干预对减轻孕中期引产妇产后抑郁的作用。方法:将2007年1月～2009年10月住院的孕中期引产的孕产妇100例随机分为对照组和干预组。对照组50例,只进行产前、产后常规护理,并解答孕产妇提出的问题。干预组50例,在对照组的基础上实施全面的心理干预,包括对孕妇资料的全面评估,实施支持性干预和对经济困难孕妇的支持性治疗和音乐放松疗法。在入院时和实施干预7 d时分别采用汉密尔顿抑郁量表评分。结果:干预组的评分显著低于对照组,两组比较差异有统计学意义(10.73±2.32 vs 16.52±0.88,P<0.05)。结论:为孕中期引产妇提供及时有效的心理干预能够改善其不良心理状态,促进孕中期引产妇产后恢复,有效减轻产后抑郁的发生。

Objective： To discuss the effects of psychological intervention in alleviating postpartum depression of women who had induced labour of second-trimester. Methods： 100 women who had induced labour of second-trimester in our hospital were divided into 2 groups. In the control group, 50 women were treated with regular prenatal and postnatal maternal care and their questions were all answered. In the intervention group, 50 women were also treated with psychological interventions, in addition to the regular treatments of the control group, including a comprehensive assessment of the data on pregnant women, being implementation of supportive intervention and supporting treatment of pregnant women on the economic difficulties, and music relaxation therapy. Based on the Hamilton depression scale, the scores of the intervention group were significantly lower than the control group after 7 days of treatments in comparison with the scores at the time of their admission to hospital. Results： It was comparatively different （10.73±2.32 vs 16.52±0.88, P〈0.05）. Conclusion： Psychological intervention to women who had induced labour of second-mmester can improve their poor psychological status, promote post partum recovery and effectively reduce the incidence of postpartum depression.